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C3CLABORATORIES INC. SAMPLE RECEIPT FORM Rev.No. 12 06/24108 Page _ f <br /> Submission #: <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br />!Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Chesto None ❑ <br /> IBC Lab Field Service )4 Other❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice P� Blue Ice❑ None ❑ Other ❑ Comments: <br /> Custody Seals Ice Chest Containers ❑ NoneX Comments: <br /> Intac?Ye No❑ Intact?Yes ❑ No ❑ <br /> All samples received? Y ❑ o❑ All samples containers in t? Y s O—,)o❑ Description(s)match COC? Yes173 <br /> No <br /> �t <br /> GOC Received Emissivity: 6\G Container: Q Thermometer ID:tjr 1-(jP Date/Time <br /> YES 0 ESOAnal st!nit <br /> Temperature:A O� °C i C �I rpt °C Y <br /> SAMPLE NUMUERS <br /> SAMPLE CONTAINERS �C' �-�-� s �lr a-�� �❑,) s. 7 e s 10 <br /> OT GENERAL MiINERAU GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORAIS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA FHENOLICS <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40m1VOA VIAL I I ) 1 1 1 <br /> OT EPA 413.1 413.2.418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 -` <br /> OT EPA 508/608/8080 <br /> T EPA 515.1/8150 <br /> OT EPA 525 <br /> OT EPA 525 TRAVEL BLANK <br /> 100mIEPA 547 <br /> I00mi EPA 531.1 <br /> T EPA 548 - <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> T AMBER <br /> 8 OZ.JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG I <br /> FERROLIS IRON I I I <br /> ENCORE � �- <br /> Comments: <br /> Sample Numbering Completeft Ey: Date/Time: l ( — t� ��t� <br /> A.=Actual / C=Corrected - <br /> IH:\CCCS\IA'FBGriLAB CCCSIFOR[n'iS1SA1,AREC2.lWPOI <br />